Factors Affecting Physician Professional Satisfaction

Friedberg, Mark W.; Busum, Kristin R. Van; Chen, Peggy G.; Aunon, Frances M.; Pham, Chau; Caloyeras, John P.; Mattke, Soeren; Pitchforth, Emma; Quigley, Denise D.; Brook, Robert H.; Crosson, Francis J.; Tutty, Michael

doi:10.7249/rb9740

Cited by 226 publications

(81 citation statements)

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“…A compensatory mechanism of relying upon cogent summaries written by trusted colleagues, such as a well-respected consultant, might not be able to be employed in the absence of such a summary or if the summary was done prior to knowing a critically important update (Lowry et al, 2014). Without the time to adequately review historical data, inaccurate diagnoses, delays in diagnosis, and delays in treatment are more likely to occur (Friedberg et al, 2013).…”

Section: Description and Examples Of Loss Of Resilience Following Hitmentioning

confidence: 99%

Characterizing a Naturalistic Decision-Making Phenomenon

Patterson

Militello

et al. 2016

Journal of Cognitive Engineering and Decision Making

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We describe a phenomenon viewed through the conceptual lens of a naturalistic decision making perspective: a loss of system resilience, due to increased difficulty in performing macrocognition functions, associated with the implementation of new information technology. Examples of the phenomenon collected in a targeted literature review are characterized by stakeholder groups, technology, typical changes in workflow before and after implementation, and potential impacts on macrocognition and patient outcomes for four clinical care environments. The loss of system resilience is due to increased difficulty in performing macrocognition functions: 1) sensemaking due to less effective cognitive warm-up and collaborative framing strategies, 2) detecting events due to missing trends in data and changes to orders, and 3) coordinating due to less clinical knowledge during scheduling and updating information, and less effective cross-checks. Potential impacts to patient safety include an increase in unnecessary care, missed care, delays in diagnoses and treatment, redundant care, inaccurate diagnoses, medication errors, and adverse events. We recommended future conceptually-driven research in other complex, sociotechnical settings order to develop useful metrics and reduce the risk of incurring undesirable and unnecessary impacts on cognitive work associated with new technology.

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Section: Description and Examples Of Loss Of Resilience Following Hitmentioning

confidence: 99%

Characterizing a Naturalistic Decision-Making Phenomenon

Patterson

Militello

et al. 2016

Journal of Cognitive Engineering and Decision Making

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“…Larger, well-resourced physician practices and hospitals may be equipped to manage change associated with EMR adoption; others, however, may struggle without help. It is critical that barriers in all types of practices be systematically addressed [ 7 , 18 ] . Here, we describe OntarioMD’s approach to supporting community-based physicians in the adoption and optimization of EMRs and analysis from self-assessment surveys of over 4000 EMR users.…”

Section: Introductionmentioning

confidence: 99%

Progress in the Enhanced Use of Electronic Medical Records: Data From the Ontario Experience

Jones¹,

Koziel²,

Larsen³

et al. 2017

JMIR Med Inform

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BackgroundThis paper describes a change management strategy, including a self-assessment survey tool and electronic medical record (EMR) maturity model (EMM), developed to support the adoption and implementation of EMRs among community-based physicians in the province of Ontario, Canada.ObjectiveThe aim of our study was to present an analysis of progress in EMR use in the province of Ontario based on data from surveys completed by over 4000 EMR users.MethodsThe EMM and the EMR progress report (EPR) survey tool clarify levels of capability and expected benefits of improved use. Maturity is assessed on a 6-point scale (0-5) for 25 functions, across 7 functional areas, ranging from basic to more advanced. A total of 4214 clinicians completed EPR surveys between April 2013 and March 2016. Univariate and multivariate descriptive statistics were calculated to describe the survey results.ResultsPhysicians reported continual improvement over years of use, perceiving that the longer they used their EMR, the better patient care they provided. Those with at least two years of experience reported the greatest progress.ConclusionsFrom our analyses at this stage we identified: (1) a direct correlation between years of EMR use and EMR maturity as measured in our model, (2) a similar positive correlation between years of EMR use and the perception that these systems improve clinical care in at least four patient-centered areas, and (3) evidence of ongoing improvement even in advanced years of use. Future analyses will be supplemented by qualitative and quantitative data collected from field staff engagements as part of the new EMR practice enhancement program (EPEP).

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“…A recent survey sponsored by the American Medical Association suggested that being able to deliver high-quality health care is a primary driver of job satisfaction among physicians. 1 Indeed, physician satisfaction with care delivery may be reflective of the actual quality of care received by patients, and interventions to improve physician satisfaction may simultaneously improve patient quality of care. 1 To achieve this in real terms, patient clinical characteristics associated with physician dissatisfaction must be identified so that appropriate targets for intervention can be determined.…”

Section: Introductionmentioning

confidence: 99%

Physician Satisfaction with Current Psoriasis Treatment: A Real-World Study in the USA

Korman

Zhao

Pike

et al. 2016

Journal of Psoriasis and Psoriatic Arthritis

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Background: Dermatologists may provide a unique perspective on psoriasis management by offering an evaluation of satisfaction with disease control. Objectives: To examine physician satisfaction with psoriasis control. Methods: Data were extracted from the Adelphi 2011/2013 Psoriasis Disease Specific Programmes, two real-world U.S. surveys of dermatologists. For individual patients, physicians reported treatment history, disease severity, symptom severity for itching, pain and scaling, and their satisfaction level (satisfied vs. dissatisfied). Results: Dermatologists were dissatisfied with disease control for 28.6% of patients. When physicians were dissatisfied, patients were more likely to currently have moderate (66% vs. 33%) or severe (20% vs. 2%) psoriasis compared to patients with satisfied physicians (p<0.05). Patients with dissatisfied physicians were also more likely to currently have more severe pain, itching and scaling, and were less likely to be receiving a biologic therapy (all p<0.05). Conclusion: Dermatologists were dissatisfied with the control achieved for more than one-quarter of their psoriasis patients.

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Factors Affecting Physician Professional Satisfaction

Cited by 226 publications

References 0 publications

Characterizing a Naturalistic Decision-Making Phenomenon

Characterizing a Naturalistic Decision-Making Phenomenon

Progress in the Enhanced Use of Electronic Medical Records: Data From the Ontario Experience

Physician Satisfaction with Current Psoriasis Treatment: A Real-World Study in the USA

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